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静态回缩力增加的离体水肿犬肺的肺泡液体压力

Alveolar liquid pressure in excised edematous dog lung with increased static recoil.

作者信息

Beck K C, Lai-Fook S J

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1983 Oct;55(4):1277-83. doi: 10.1152/jappl.1983.55.4.1277.

Abstract

Alveolar liquid pressure (Pliq) was measured by micropipettes in conjunction with a servo-nulling pressure measuring system in isolated air-inflated edematous dog lungs. Pliq was measured in lungs either washed with a detergent (0.01% Triton X-100) or subjected to refrigeration for 2-3 days followed by ventilation for 3 h. At 55% of total lung capacity (TLC, the volume at a transpulmonary pressure (Ptp) of 25 cmH2O before treatment), in both the Triton-washed and the ventilated lung, Ptp increased from 5 to 11 cmH2O, whereas Pliq, decreased from -3 to -11 cmH2O relative to alveolar air pressure. Similar increases in Ptp and decreases in Pliq were obtained at higher lung volumes. Alveolar surface tension (T) was estimated from the Laplace equation for a spherical air-liquid interface, assuming that the radius of curvature varies as (volume)n, for -1/3 less than n less than 1/3. For uniform expansion of alveoli (n = 1/3), estimated T was 6 and 18 dyn/cm at 55 and 85% TLC, respectively, before treatment and increased to 23 and 40 dyn/cm following either Triton washing or ventilation. If pericapillary interstitial fluid pressure (Pi) equaled Pliq in edematous lungs, increases in T might reduce Pi and increase extravascular fluid accumulation in lungs made stiff by either Triton washing or cooling and ventilation using large tidal volumes.

摘要

在离体充气水肿犬肺中,使用微量移液器结合伺服归零压力测量系统测量肺泡液体压力(Pliq)。在经去污剂(0.01% Triton X - 100)冲洗或冷藏2 - 3天然后通气3小时的肺中测量Pliq。在总肺容量(TLC,治疗前跨肺压(Ptp)为25 cmH₂O时的体积)的55%时,在经Triton冲洗的肺和通气的肺中,Ptp从5 cmH₂O增加到11 cmH₂O,而相对于肺泡气压,Pliq从 - 3 cmH₂O降至 - 11 cmH₂O。在更高肺容量时也获得了类似的Ptp增加和Pliq降低。假设曲率半径随(体积)ⁿ变化,其中 - 1/3 < n < 1/3,根据球形气 - 液界面的拉普拉斯方程估算肺泡表面张力(T)。对于肺泡的均匀扩张(n = 1/3),治疗前在55%和85% TLC时估算的T分别为6和18 dyn/cm,经Triton冲洗或通气后分别增加到23和40 dyn/cm。如果在水肿肺中肺毛细血管周围间质液压力(Pi)等于Pliq,T的增加可能会降低Pi,并增加因Triton冲洗或冷却及大潮气量通气而变硬的肺中的血管外液体积聚。

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